Ellisha Lee, RPH

NPI #1952662439 in Portland, Oregon

Provider Information

NPI Number: 1952662439
Entity Type: Individual
Name: Ellisha Lee, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 31, 2012
Last Updated: May 31, 2012

Practice Location

Address: 11030 SW CAPITOL HWY
City: Portland
State: Oregon
ZIP Code: 97219-8653
Phone: (503) 244-3504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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